Can medical insurance clinics for urban residents be reimbursed?

The outpatient medical insurance for urban residents can be reimbursed, as follows:

1. The medical expenses above 1800 yuan can only be reimbursed after the on-the-job employees go to the hospital for emergency treatment, and the reimbursement rate is 50%;

2. Retirees under the age of 70,1.Expenses above 300 yuan can be reimbursed, and the reimbursement rate is 70%; For retirees over 70 years old, 80% of the expenses above 1300 yuan can be reimbursed.

Social security medical insurance reimbursement scope:

1, outpatient and emergency medical expenses. During the year, the medical expenses of on-the-job employees who meet the basic medical insurance coverage totaled more than 2,000 yuan;

2. During the contract period, 50% of the dispatched personnel will be reimbursed for more than 2,000 yuan, and 50% will be paid by the individual; Within one year, the maximum amount of accumulated reimbursement for outpatient and emergency services of dispatched personnel is 20,000 yuan;

3, the insured should be properly kept in the designated hospital outpatient medical documents, as a medical expense reimbursement certificate;

4. Outpatient medical treatment for three kinds of special diseases. For the outpatient medical treatment for the insured who suffers from malignant tumor radiotherapy and chemotherapy, renal dialysis and kidney transplantation, the secondary and tertiary hospitals designated by the insured shall fill in the Declaration and Approval Form for Special Diseases of Medical Insurance according to the Certificate of Disease Diagnosis, and report it to the district medical insurance center for examination and approval. Outpatient treatment and drug collection for these three special diseases are limited to designated hospitals that have approved treatment, and cannot be purchased in designated retail pharmacies. The medical expenses incurred meet the prescribed scope of outpatient special diseases, with reference to hospitalization settlement;

5. Hospitalization.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Article 2 The state establishes social insurance systems such as basic old-age insurance, basic medical insurance, industrial injury insurance, unemployment insurance and maternity insurance, so as to guarantee citizens' right to receive material assistance from the state and society in accordance with the law in case of old age, illness, industrial injury, unemployment and maternity.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Twenty-eighth medical expenses that meet the basic medical insurance drug list, diagnosis and treatment items, medical service facilities standards and emergency treatment and rescue shall be paid by the basic medical insurance fund in accordance with state regulations.